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系统文献回顾和荟萃分析循环核酸作为精神病学的生物标志物。

A systematic literature review and meta-analysis of circulating nucleic acids as biomarkers in psychiatry.

机构信息

Service de Médecine Génomique des Maladies de Système et d'Organe, Hôpital Cochin, AP.HP.CUP, Paris, France; INSERM U1266, Institut de Psychiatrie et de Neurosciences de Paris, Paris, France.

Service de Médecine Génomique des Maladies de Système et d'Organe, Hôpital Cochin, AP.HP.CUP, Paris, France.

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 2023 Jul 13;125:110770. doi: 10.1016/j.pnpbp.2023.110770. Epub 2023 Apr 15.

Abstract

Common mental disorders (CMDs) such as depression, anxiety and post-traumatic stress disorders account for 40% of the global burden of disease. In most psychiatric disorders, both diagnosis and monitoring can be challenging, frequently requiring long-term investigation and follow-up. The discovery of better methods to facilitate accurate and fast diagnosis and monitoring of psychiatric disorders is therefore crucial. Circulating nucleic acids (CNAs) are among these new tools. CNAs (DNA or RNA) can be found circulating in body biofluids, and can be isolated from biological samples such as plasma. They can serve as biomarkers for diagnosis and prognoses. They appear to be promising for disorders (such as psychiatric disorders) that involve organs or structures that are difficult to assess. This review presents an accurate assessment of the current literature about the use of plasma and serum cell-free DNA (cfDNA) as biomarkers for several aspects of psychiatric disorders: diagnosis, prognosis, treatment response, and monitor disease progression. For each psychiatric disorder, we examine the effect sizes to give insights on the efficacy of CNAs as biomarkers. The global effect size for plasma nuclear and mitochondrial cfDNA studies was generally moderate for psychiatric disorders. In addition, we discuss future applications of CNAs and particularly cfDNA as non-invasive biomarkers for these diseases.

摘要

常见精神障碍(CMD),如抑郁症、焦虑症和创伤后应激障碍,占全球疾病负担的 40%。在大多数精神疾病中,诊断和监测都具有挑战性,通常需要长期的调查和随访。因此,发现更好的方法来促进精神疾病的准确和快速诊断和监测至关重要。循环核酸(CNAs)就是这些新工具之一。CNAs(DNA 或 RNA)可以在体液中循环,并且可以从血浆等生物样本中分离出来。它们可以作为诊断和预后的生物标志物。它们似乎在涉及难以评估的器官或结构的疾病(如精神疾病)方面很有前景。本综述对血浆和血清无细胞 DNA(cfDNA)作为几种精神障碍的诊断、预后、治疗反应和监测疾病进展的生物标志物的应用进行了准确评估。对于每种精神障碍,我们检查了效应大小,以了解 CNAs 作为生物标志物的有效性。精神障碍患者血浆核和线粒体 cfDNA 研究的总体效应大小通常为中等。此外,我们还讨论了 CNAs,特别是 cfDNA 作为这些疾病的非侵入性生物标志物的未来应用。

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